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Stephanie Portillo, CPNP-PC
Pediatric Nurse Practitioner in Pasadena, Texas
NPI 1790446227

Stephanie Portillo is a Pediatric Nurse Practitioner based in Pasadena, TX and is specialized in Pediatrics. Stephanie Portillo practices in Pasadena, TX and has the professional credentials of CPNP-PC. The NPI Number for Stephanie Portillo is 1790446227 and holds a License No. 1058111 (Texas).

The current practice location address for Stephanie Portillo is 4949 Fairmont Pkwy Ste 200, Pasadena, TX and can be reached out via phone at 713-941-1177.

Location: 4949 Fairmont Pkwy Ste 200, Pasadena, TX, 77505-3757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790446227
Provider Name
Stephanie Portillo
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
4949 Fairmont Pkwy Ste 200, Pasadena, TX, 77505-3757
Phone Number
713-941-1177
Fax Number
Provider Enumeration Date
01/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4949 Fairmont Pkwy Ste 200
City
Pasadena
State
Texas
Zip
77505-3757
Phone Number
713-941-1177
Fax Number
person
Provider Business Mailing Address Details
Address
4949 Fairmont Pkwy Ste 200
City
Pasadena
State
Texas
Zip
77505-3757
Phone Number
713-941-1177
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
1058111 (Texas)
Definition
Definition to come...
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